Esophagitis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Surgical intervention is not recommended for the management of esophagitis. However, esophageal dilation can be employed in cases of severe dysphagianot responding to medial therapy.

Surgery

Surgical intervention is not recommended for the management of esophagitis. However, esophageal dilation can be employed in cases of severe dysphagia not responding to medial therapy.

Esophageal Dilation

• Dilation is considered safe and effective in relieving the dysphagia in patients with EoE.
• Esophageal dilation has a very good acceptance in patients and it does not influence eosinophilic inflammation.
• Patients with esophageal strictures can be treated by esophageal dilation.
• Esophageal dilation is contraindicated in patients with endoscopic signs of acute inflammation.
• Postprocedural pain is very common in patients with esophageal dilation.
• The use of swallowed topical steroids before dilation reduces the risk of endoscopic complications such as bleeding, perforation, and postprocedural pain.
• Delaying the procedure in patients with strictures can lead to acute food bolus impactions.
• Food impactions should be dealt with carefully as they can cause spontaneous esophageal perforation and procedure-induced complications.